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Individual

FAITH GENEVIEVE FUDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, LD

Contact information

Practice address
63 BROADSTONE DR, FAIRVIEW HEIGHTS, IL 62208-1059
(630) 632-5408
Mailing address
63 BROADSTONE DR, FAIRVIEW HEIGHTS, IL 62208-1059
(630) 632-5408

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
226416
AK

Other

Enumeration date
07/16/2024
Last updated
07/16/2024
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